O W N E R S H I P

Name *

First Name

Last Name

Which of the following statements *best* sums up how you're feeling about the week ahead (choose ONE)? *

Eager to start this program and put some extra attention on me.

Both energized and anxious by the prospect of a new focus and expectations.

Still trying to catch up with the fact that it's a new year. Feeling rather behind the eight ball.

The week ahead is no different than any other week.

Have you scheduled the above into your calendar? *

Nope.

Of course. Planning is my middle name.

I'm going to get on that now (really).

Schedules don't work in my life. Everyday is an adventure.